Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.57 / $334.16 / $4,311.00	Facility		$191.57	$334.16	$4,311.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.29 / $154.97 / $251.02	Facility	54	$140.29	$154.97	$251.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $206.64 / $380.34	Professional		$176.38	$206.64	$380.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $268.80 / $268.80	Professional		$268.80	$268.80	$268.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $311.20 / $558.64	Professional		$213.81	$311.20	$558.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $289.02 / $513.84	Professional		$206.78	$289.02	$513.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.05 / $250.33 / $473.00	Facility		$187.05	$250.33	$473.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $268.00 / $283.00	Professional		$250.33	$268.00	$283.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $379.31 / $586.29	Professional		$3.00	$379.31	$586.29
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $251.92 / $509.76	Professional		$179.56	$251.92	$509.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,031.60 / $1,031.60	Facility		$55.00	$1,031.60	$1,031.60
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $361.03 / $722.13 / $722.13	Facility	54	$361.03	$722.13	$722.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,440.80 / $1,669.19 / $1,856.18	Professional		$1,440.80	$1,669.19	$1,856.18